How to treat vaginitis?

Patient's question:

All symptoms: Abnormal vaginal discharge, bad breath, vulvar itching, bloating, face swelling
Onset time and cause: Approximately two years
Treatment history: Enlarged cervix, fluid accumulation in the uterus, abnormal vaginal discharge with odor, vaginitis, etc.
Used many medications for vaginitis but without improvement, so seeking help: Help analyze the condition and tell how to treat it

Doctor's answer:

1. Traditional Chinese Medicine (TCM) considers an excessive amount of leukorrhea with yellow, viscous, foul-smelling discharge, local redness, and a sensation of heat, swelling, and pain to be a manifestation of damp-heat accumulation in the lower body. Treatment for vaginitis should follow the principle of clearing heat, expelling dampness, and stopping discharge. Commonly used herbs include Polyporus sinensis, Poria cocos, Paeonia lactiflora, Moutan Cortex, Alisma orientale, Phellodendron amurense, Gardenia jasminoides, Ginkgo biloba, Plantago asiatica, and Glycyrrhiza uralensis. Alternatively, oral administration of Longdan Xiegan Pills can also achieve good therapeutic effects.
2. TCM considers an excessive amount of leukorrhea with white, viscous discharge and a feeling of swelling and heaviness in the lower abdomen to be a manifestation of dampness accumulation in the lower body. Treatment for vaginitis should follow the principle of strengthening the spleen, expelling dampness, and stopping discharge. Commonly used herbs include Codonopsis pilosula, Atractylodes macrocephala, Atractylodes rhizoma, Poria cocos, Dioscorea opposita, Coix lacryma-jobi, and Tangerine peel. Alternatively, oral administration of Longbai Daitai Pills can also achieve good therapeutic effects.
3. TCM considers an excessive amount of leukorrhea with mixed yellow and white discharge, viscous in texture, and a foul odor, along with a sensation of heat and heaviness in the lower abdomen to be a manifestation of liver qi stagnation and spleen deficiency. Treatment for vaginitis should follow the principle of soothing the liver, clearing heat, strengthening the spleen, and expelling dampness. Commonly used herbs include Moutan Cortex, Paeonia lactiflora, Atractylodes rhizoma, Poria cocos, Coix lacryma-jobi, Bupleurum chinense, Gardenia jasminoides, Alisma orientale, Nigella sativa, Plantago asiatica, and Glycyrrhiza uralensis. Alternatively, oral administration of Jia Wei Xiao Yao Pills can also achieve good therapeutic effects.